Topics Related to Medicaid Direct
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries
Information on key benefits, copay exceptions and rates effective Oct. 1, 2024.
Guidance for providers directly billing Medicare for services provided to patients with retroactive Medicare enrollment dates
An amended version of Clinical Coverage Policy 5B, Orthotics and Prosthetics promulgated on July 15, 2024.
The 2025 ICD-10 update is effective Oct. 1, 2024, through Sept. 30, 2025, for provider use for dates of service within this period.
Guidance based on products approved by the FDA and recommended by the CDC Advisory Committee on Immunization Practices (ACIP).
Rate Changes are Effective Aug. 1, 2024
Coverage effective for dates of service from July 26, 2024
Clarification to recent policy and billing questions
Updates for providers on 1915(b)(3) services ending, new 1915(i) assessment tool and 1915(i) reassessments.